Ratni Indrawanti
Department Of Pediatrics, Faculty Of Medicine, Public Health And Nursing/Dr. Sardjito General Hospital,

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Knowledge of Junior High School teachers upon adolescent reproductive health in Yogyakarta Municipality Ratni Indrawanti, Ratni Indrawanti
Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Vol 34, No 04 (2002)
Publisher : Journal of the Medical Sciences (Berkala Ilmu Kedokteran)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (260.227 KB)

Abstract

Objective: The aim of this study was to know the knowledge of Junior High School teacher upon adolescent reproductive health and the influencing factors.Materials and Methods: The study population is the teachers of Junior High Schools in Yogyakarta Municipality, 280 teachers were enrolled. Data on the characteristics and the knowledge upon the adolescent reproductive health were collected by questionnaire.Results: The teachers knowledge on the maturation of the female reproductive showed a statistical difference between the teacher group involved in the reproductive health teaching and the univolved group (p = 0.0004); the knowledge on the maturation of the male reproduction showed a statistical difference between the teacher group who had been in charge for more than 20 years compared to less than 20 year teacher (p = 0.015), likewise between the teacher group involved in the reproductive health teaching compared to the uninvolved (p = 0.0005); on the woman fertile period only 50% of the teachers had correct knowledge and there was a statistical difference between the teacher group involved in the reproductive health teaching and uninvolved group (p = 0.035). The score of the teachers knowledge that a woman can become pregnant by a single sexual intercouse was inadequate (about 60% of full score) and there was a statistical difference between teacher group involved in the reproductive health teaching and the uninvolved group (p = 0.035); the score of the teachers knowledge that a woman can become pregnant by interrupted sexual intercouse was inadequate (about 50% of full score) and there was a statistical difference between female and male teachers (p = 0.01), between the teacher group who had been in charge for more than 20 years compared to less than 20 year group (p=0.025). The teachers knowledge that woman cannot become pregnant by vaginal rinsing soon after a sexual intercouse was inadequate (about 60% of full score) and the teacher group involved in the Religion, Biology and Physical Health teaching was less than the other group and there was a statistical difference (p = 0.037), likewise between the teacher group who had been in charge for more than 20 years compared to less than 20 year group (p = 0.019), between teacher group involved in the reproductive health teaching and the uninvolved group there was a statistical (p = 0.005). Concerning the knowledge on Herpes infection there was a statistical difference between teacher group involved in the reproductive health teaching and the uninvolved group (p = 0.007); concerning the teachers behaviour on reproductive discussion with the students, the teachers involved in of Religion, Biology and Physical Health teaching or involved in guidance and councelling performed discussion more frequently compared to the other groups and a statistical differences was found (p= 0.00005). It was questionable that 64.8% teachers who were involved in the reproductive health teaching never discussed about the matter with their students. The teachers knowledge on some diseases that can be transmitted by sexual activities was variable: on AIDS and Syphillis nearly 70% teachers knew, on Chlamydia 39.8% and on Herpes less than 15%. Logistic regression analysis to find the influencing factor on the teachers knowledge showed: the involvement in the reproductive health teaching had influence on the knowledge upon the maturation of female and male sexual development more than the length of teaching, it influenced also the behavior to discuss sexual matter to the students. Gender and length of teaching did not influence the teachers knowledge whether a woman can become pregnant by interupted sexual intercouse; the subject of teaching and the involvement that a woman will not become pregnant by rinsing their sexual organ soon after a sexual intercouse.Conclusion: The knowledge and behaviour or the Junior High School teachers in Yogyakarta were inad- equate on some important issues and influenced especially by the subject teaching.Key word : adolescent reproductive health knowledge - Junior High School Teacher - influencing factors
Knowledge of Junior High School teachers upon adolescent reproductive health in Yogyakarta Municipality Ratni Indrawanti Ratni Indrawanti
Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Vol 34, No 04 (2002)
Publisher : Journal of the Medical Sciences (Berkala Ilmu Kedokteran)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (260.227 KB)

Abstract

Objective: The aim of this study was to know the knowledge of Junior High School teacher upon adolescent reproductive health and the influencing factors.Materials and Methods: The study population is the teachers of Junior High Schools in Yogyakarta Municipality, 280 teachers were enrolled. Data on the characteristics and the knowledge upon the adolescent reproductive health were collected by questionnaire.Results: The teachers knowledge on the maturation of the female reproductive showed a statistical difference between the teacher group involved in the reproductive health teaching and the univolved group (p = 0.0004); the knowledge on the maturation of the male reproduction showed a statistical difference between the teacher group who had been in charge for more than 20 years compared to less than 20 year teacher (p = 0.015), likewise between the teacher group involved in the reproductive health teaching compared to the uninvolved (p = 0.0005); on the woman fertile period only 50% of the teachers had correct knowledge and there was a statistical difference between the teacher group involved in the reproductive health teaching and uninvolved group (p = 0.035). The score of the teacher's knowledge that a woman can become pregnant by a single sexual intercouse was inadequate (about 60% of full score) and there was a statistical difference between teacher group involved in the reproductive health teaching and the uninvolved group (p = 0.035); the score of the teacher's knowledge that a woman can become pregnant by interrupted sexual intercouse was inadequate (about 50% of full score) and there was a statistical difference between female and male teachers (p = 0.01), between the teacher group who had been in charge for more than 20 years compared to less than 20 year group (p=0.025). The teacher's knowledge that woman cannot become pregnant by vaginal rinsing soon after a sexual intercouse was inadequate (about 60% of full score) and the teacher group involved in the Religion, Biology and Physical Health teaching was less than the other group and there was a statistical difference (p = 0.037), likewise between the teacher group who had been in charge for more than 20 years compared to less than 20 year group (p = 0.019), between teacher group involved in the reproductive health teaching and the uninvolved group there was a statistical (p = 0.005). Concerning the knowledge on Herpes infection there was a statistical difference between teacher group involved in the reproductive health teaching and the uninvolved group (p = 0.007); concerning the teacher's behaviour on reproductive discussion with the students, the teachers involved in of Religion, Biology and Physical Health teaching or involved in guidance and councelling performed discussion more frequently compared to the other groups and a statistical differences was found (p= 0.00005). It was questionable that 64.8% teachers who were involved in the reproductive health teaching never discussed about the matter with their students. The teacher's knowledge on some diseases that can be transmitted by sexual activities was variable: on AIDS and Syphillis nearly 70% teachers knew, on Chlamydia 39.8% and on Herpes less than 15%. Logistic regression analysis to find the influencing factor on the teacher's knowledge showed: the involvement in the reproductive health teaching had influence on the knowledge upon the maturation of female and male sexual development more than the length of teaching, it influenced also the behavior to discuss sexual matter to the students. Gender and length of teaching did not influence the teacher's knowledge whether a woman can become pregnant by interupted sexual intercouse; the subject of teaching and the involvement that a woman will not become pregnant by rinsing their sexual organ soon after a sexual intercouse.Conclusion: The knowledge and behaviour or the Junior High School teacher's in Yogyakarta were inad- equate on some important issues and influenced especially by the subject teaching.Key word : adolescent reproductive health knowledge - Junior High School Teacher - influencing factors
The Impact of Malaria in Pregnancy on Infant Susceptibility to Malaria Infection Ratni Indrawanti; Mahardika Wijayanti; Mochamad Hakimi; Mohammad Juffrie; Enny Kenangalem; Faustina Helena Burdam; Leily Triyanti; Rintis Noviyanti; Din Syafruddin; Rukhsana Ahmed; Feiko ter Kuile; Jeanne Rini Poespoprojo
Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Vol 50, No 2 (2018)
Publisher : Journal of the Medical Sciences (Berkala Ilmu Kedokteran)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (365.651 KB) | DOI: 10.19106/JMedSci005002201807

Abstract

Malaria infection during pregnancy is a significant global health problem with substantialrisks for pregnant women, her foetus, and the newborn child. Infant malaria is a majorpublic health concern in Timika, Papua. The aim of the study was to investigate the impactof malaria during pregnancy on infant’s susceptibility to malaria infections, the timing ofits occurrence, the number of malaria infections during pregnancy. This was a cohortprospective study conducted in Timika, Papua from October 2013 to September 2016.Malaria investigation was done by microscopic and PCR methods. Demographic data andmalaria status of mother-infant pairs were collected and analyzed by SPSS 22.0 version.One hundred seventy-eight infants consisting of 95 (53.37%) infants born to motherswith malaria and 83 (46.63%) without malaria 91 (51.12%) boys and 87 (48.88%) girlswere involved in the study. The mean of mothers’ ages were 25.35 ± 6.30 vs. 26.0 ±5.69 years. At the ages of 6 and 12 months, infants born to malaria positive motherswere more susceptible to malaria infections compared to infants born to malaria negativemothers with RR = 3.49; 95%CI: 1.02-11.96; p = 0.03 and RR = 8.74; 95%CI: 1.14-66.81; p = 0.01, respectively. Independent risk factors of infant susceptibility to malariainfection during the first year of life were malaria in pregnancy (MiP) in 2nd trimester (RR= 4.50; 95%CI: 1.5-13.49; p = 0.07), pregnant women who only got malaria infection1 time during pregnancy (RR=2.95; 95%CI: 1.04-8.33; p = 0.04), and Papuan ethnicity(RR=3.58; 95%CI: 1.22-10.59; p = 0.02). In conclusion, infant susceptibility to malariais associated with maternal malaria status during pregnancy. MiP in second trimester,pregnant women who only had malaria once and Papuan ethnicity were independent riskfactors for infant’s increased susceptibility to malaria infection.
Status Nutrisi sebagai Faktor Risiko Sindrom Syok Dengue Sarah Buntubatu; Eggi Arguni; Ratni Indrawanti; Ida Safitri Laksono; Endy P. Prawirohartono
Sari Pediatri Vol 18, No 3 (2016)
Publisher : Badan Penerbit Ikatan Dokter Anak Indonesia (BP-IDAI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (380.928 KB) | DOI: 10.14238/sp18.3.2016.226-32

Abstract

Latar belakang. Risiko kematian pada anak dengan sindrom syok dengue (SSD) tinggi. Obesitas diduga sebagai faktor risiko SSD tetapi hasil penelitian sebelumnya masih kontroversial.Tujuan. Mengevaluasi overweight atau obes sebagai faktor risiko SSD pada anak.Metode. Penelitian case control pada anak (0-18 tahun) yang dirawat di RSUP Dr. Sardjito Yogyakarta dari bulan April 2012 sampai Maret 2015 dengan infeksi dengue, yang ditegakkan berdasarkan kriteria WHO 2011 dan hasil uji serologi darah atau NS1. Analisis statistik dikerjakan dengan analisis multivariat dan stratifikasi. Kemaknaan faktor risiko dilaporkan sebagai odds ratio (OR) denganinterval kepercayaan 95%.Hasil. Dilaporkan 264 anak terdiri dari 88 kasus (SSD) dan 176 kontrol (non SSD) diikutkan dalam penelitian ini. Anak dengan overweight atau obesitas mempunyai risiko SSD 2,29 kali dibanding bukan overweight atau obes OR=2,29; IK95%:1,24-4,22) dan perempuan mempunyai risiko SSD 1,84 kali lebih tinggi dibanding laki-laki (OR=1,84; IK95%:1,08-3,14). Jumlah trombositmerupakan modifier, yaitu anak overweight atau obes dengan angka trombosit <20.000/μL mempunyai risiko 3,26 kali dibanding anak dengan SSD dengan overweight atau obes dengan angka trombosit ≥20.000/μL (OR=3,26;IK95%:1,22-8,72).Kesimpulan. Overweight atau obes dan jenis kelamin perempuan merupakan faktor risiko untuk SSD dan jumlah trombosit <20.000 /μL merupakan modifier.
Perbedaan Tingkat Kemandirian Anak Usia Prasekolah yang Mengikuti Program Sekolah Full Day Dibandingkan dengan Half Day Dina Rismawati; Mei Neni Sitaresmi; Ratni Indrawanti
Sari Pediatri Vol 17, No 3 (2015)
Publisher : Badan Penerbit Ikatan Dokter Anak Indonesia (BP-IDAI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (79.378 KB) | DOI: 10.14238/sp17.3.2015.185-9

Abstract

Latar belakang. Tujuan orangtua memasukkan anak pada program sekolah full day adalah untuk memenuhi kebutuhanperkembangan anak khususnya kemandirian. Hubungan antara tingkat kemandirian anak usia prasekolah dengan keikutsertaandalam program sekolah full day masih terdapat kontroversi.Tujuan. Mengetahui perbedaan tingkat kemandirian anak usia prasekolah yang mengikuti program sekolah full day dibandingkandengan half day.Metode. Rancangan penelitian potong lintang dengan besar sampel 116 anak usia 36 sampai 60 bulan pada 7 kelompok bermaindi Yogyakarta. Data dianalisis dengan menggunakan independent t test dan regresi linier.Hasil. Skor kemandirian anak usia prasekolah yang mengikuti program sekolah full day lebih tinggi dibandingkan dengan halfday 115,67+15,90 vs 109,98+18,28 (IK95%: -0,61-11,99; p=0,07). Skor kemandirian anak yang mendapat stimulasi adekuatlebih tinggi dibandingkan dengan stimulasi tidak adekuat 116,59+15,78 vs 104,11+17,71, (IK95%: 5,92-19,04; p<0,001). Skorkemandirian anak dengan ayah berpendidikan tamat perguruan tinggi lebih tinggi dibandingkan dengan berpendidikan menengah114,40 +17,35 vs 104,28+14,64, (IK95%: 1,50-18,74; p=0,022).Kesimpulan. Tidak terdapat perbedaan bermakna tingkat kemandirian anak usia prasekolah yang mengikuti program sekolah fullday dibandingkan half day. Anak dengan stimulasi adekuat dan ayah berpendidikan tamat perguruan tinggi mempunyai tingkatkemandirian lebih tinggi dibandingkan anak dengan stimulasi tidak adekuat dan ayah berpendidikan menengah.
Profil Hematologi Sebagai Prediktor Sepsis pada Sindrom Syok Dengue Deddy Hediyanto; Ida Safitri Laksanawati; Ratni Indrawanti; Eggi Arguni; Desi Rusmawaningtyas
Sari Pediatri Vol 18, No 4 (2016)
Publisher : Badan Penerbit Ikatan Dokter Anak Indonesia (BP-IDAI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/sp18.4.2016.260-4

Abstract

Latar belakang. Infeksi dengue di daerah endemis dapat terjadi bersamaan dengan infeksi lain. Penelitian tentang infeksi dengue pada anak sudah banyak dilakukan, tetapi masih sedikit yang meneliti tentang kejadian sepsis pada sindrom syok dengue (SSD). Profil hematologi sebagai pemeriksaan yang mudah dilakukan, diharapkan dapat digunakan sebagai prediktor sepsis pada SSD.Tujuan. Mengetahui profil hematologi sebagai prediktor sepsis pada SSD.Metode. Penelitian kohort retrospektif pada anak usia 1 bulan-18 tahun yang diambil dari data rekam medis pasien SSD dengan sepsis maupun tidak sepsis dan dirawat di RSUP Dr. Sardjito mulai 1 Januari 2011- 31 Desember 2014. Profil hematologi dan C-reactive protein (CRP) yang digunakan adalah pemeriksaan yang diambil saat pasien pertama kali masuk ke rumah sakit. Analisis statistik dikerjakan dengan analisis univariat, kemaknaan dengan Odds ratio (OR) dan interval kepercayaan 95% (IK95%).Hasil. Didapatkan 98 pasien yang memenuhi kriteria inklusi SSD, di antaranya 30 pasien SSD (30,6%) menderita sepsis. Tidak ada profil hematologi saat pasien pertama kali masuk rumah sakit menjadi prediktor sepsis pada SSD. Pemeriksaan kadar Hb (rerata 13,98±2,28 g/dL, p=0,897), hematokrit saat datang (rerata 40,5±6,6%; p=0,369), leukosit (median 5,68x 103 sel/µL; p= 0,619), trombosit (median 25,5x103 sel/µL; p=0,841). Pemeriksaan CRP dilakukan pada 40 pasien. Pasien SSD dengan sepsis 57,9% memiliki kadar CRP ≥6 mg/L signifikan lebih tinggi dibanding SSD tanpa sepsis (23,8%) dengan nilai p=0,028; OR 2,1 (IK95%: 1,1-3,9). Pemeriksaan biakan darah dilakukan pada 35 pasien, dengan biakan tumbuh pada 6 pasien DSS yang sepsis. Kesimpulan. Kadar CRP ≥6 mg/L berhubungan signifikan dengan kejadian sepsis pada SSD, sedangkan profil hematologi lain tidak. 
Status gizi dan gambaran klinis penyakit pada pasien HIV anak awal terdiagnosis Ratni Indrawanti; Egi Arguni; Ida Safitri Laksanawati; Dwiyanti Puspitasari; Dominicus Husada
Jurnal Gizi Klinik Indonesia Vol 17, No 3 (2021): Januari
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ijcn.62154

Abstract

Nutritional status and clinical disease of HIV children patients when diagnosed for the first timeBackground: Human immunodeficiency virus (HIV) infection in children can cause nutritional problems. Currently, HIV-infected children are still diagnosed when the disease stage is advanced. Nutritional status is a marker of advanced stage conditions in HIV infection.Objective: To determine the clinical findings of disease and nutritional status of HIV children patients when diagnosed for the first time.Methods: We conducted a cross-sectional descriptive study. The data were taken from the medical record documents of child patients aged 0-18 years with the ICD 10 code B20, who was treated at the Dr. Sardjito Yogyakarta Hospital from 1 January 2004-31 December 2019. Results: There were 191 children diagnosed with HIV, 56% of them were boys. The median age was 34 months (IQR 25: 13 months, IQR 75: 69 months), and 95.5% among those were infected perinatally. There were 77 (40,3%) children who suffered from severe malnutrition and 55 (28.8%) children were moderate acute malnutrition. At the age of 0-60 months among them, there were 49 children (36.3%) suffered from severely underweight, 35 children (25.9%) underweight, 53 (39.3%) severely stunted, 38 (28.1%) stunted, 28 severely wasted (20.7%), and wasted as many as 24 (17.8%). At the age of 5-18 years old, there were 19 (33.9%) and 5 (8.9%) children who suffered from severely wasted and wasted respectively. World Health Organization (WHO) stages 3 and 4 were experienced by 62 (32.5%) and 68 (35.6%) children. As many as 41.3% of children had enlarged lymph nodes, thrush (40.8%), pneumonia (40.8%), and persistent or chronic diarrhea (21.5%). Conclusions: The nutritional status of HIV-infected children at baseline was dominated by underweight and stunted. The most clinical findings of the disease when the child was diagnosed with HIV infection were lymphadenopathy, oral thrush, pneumonia, and persistent or chronic diarrhea.
ENHANCING KNOWLEDGE AND AWARENESS FOR MEASLES AND RUBELLA ELIMINATION TO PREVENT CONGENITAL RUBELLA SYNDROME IN KULON PROGO AND GUNUNGKIDUL REGENCIES Herini, Elisabeth Siti; Triono, Agung; Iskandar, Kristy; Indrawanti, Ratni; Sitaresmi, Mei Neni; Nuady, Albaaza; Prasetyo, Ashadi; Paramastuti, Avianti; Nugrahanto, Andika Priamas; Mooiindie, Khansadhia Hasmaradana; Damroni, Rais Aliffandy; Timoti, Joshua
The Indonesian Journal of Public Health Vol. 19 No. 3 (2024): THE INDONESIAN JOURNAL OF PUBLIC HEALTH
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijph.v19i3.2024.442-452

Abstract

Introduction: Measles-Rubella (MR) Vaccination coverage is important in eliminating Congenital Rubella Syndrome (CRS). In 2023, Kulon Progo and Gunungkidul Regencies recorded 98.59% and 97.63%, respectively. We conducted campaign activities, introduced the Measles-Rubella (MR) vaccine, and implemented educational efforts crucial for controlling measles, rubella and CRS. A collaborative educational program was organized to improve the quality of promotive and preventive education provided to health workers and elementary teachers. Aims: To enhance the knowledge of health workers and elementary teachers regarding measles, rubella, CRS and elimination strategies in Kulon Progo and Gunungkidul Regency. Methods: This study employed a quasi-experimental, non-randomized design with no control group. The participants were selected from all primary health care centers and selected elementary schools in Kulon Progo and Gunungkidul Regency. Before and after a multi-modal educational program, knowledge of participants was measured using questionnaire and analyzed using Wilcoxon signed-rank test. Results: We included 72 health workers and 8 elementary teachers in Kulon Progo and Gunungkidul Regency. The results indicated an increase in knowledge among health workers regarding these topics. However, elementary teachers did not demonstrate statistically significant improvements in knowledge level, likely due to the small number of participants and a general lack of knowledge about these subjects among teachers. Conclusion: Multi-modal intervention enhanced the knowledge of health workers and elementary teachers about measles, rubella, CRS, elimination strategies of these diseases in two regencies of the Special Region of Yogyakarta. Therefore, it is essential that public health authorities should prioritize continuous and accessible education programs for them
Faktor prediktor malnutrisi rumah sakit pada anak di RSUP Dr. Sardjito Arsyad, Muhammad Tsani; Nurani, Neti; Indrawanti, Ratni
Jurnal Gizi Klinik Indonesia Vol 20, No 2 (2023): Oktober
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ijcn.94668

Abstract

Predictors of pediatric hospital acquired malnutrition in a Sardjito HospitalBackground: In hospitalized children, nutrition is essential for the healing process as well as for reaching adequate growth. Hospital-acquired malnutrition (HAM) is declining in children’s body weight during hospitalization. The impact of undetected HAM including an increase in length of stay, increase in mortality, slowing of healing process, and increasing in hospital bills.Objectives: This study aims to determine the predictive factors of HAM.Method: A prospective study was performed. Samples were 1-month-old – 18-years-old children who hospitalized in pediatric ward of Sardjito Hospital in Yogyakarta from February 2023 to April 2023. Samples were taken using a consecutive sampling method. The relationship between variables was presented as odds ratio (OR), confidence intervals of 95%, the score for each variable, and statistical significance levels p < 0.05.Results: 21 of 196 patients were diagnosed as HAM, with a male-to-female ratio of 1.1: 1. The prevalence of HAM was 10.9%. Bivariate analysis showed that maternal education (OR=2.27; CI 95% 1.02 – 5.05; p=0.041), comorbid of congenital heart disease (CHD) (RR=3.31; CI 95% 1.30 – 8.42; p=0,037), and 3rd degree of severity disease (RR=6.00; CI 95% 2.87 – 12.56; p=0.001) was significantly related to HAM. Multivariate analysis showed that comorbid of CHD (OR=5.33; CI 95% 1.34 – 20.7; p=0.017) and 3rd degree of severity disease (OR=11.54; CI 95% 3.52 – 37.86; p=0.000) increased the odds of developing of HAM.Conclusion: Comorbid of CHD and 3rd degree of severity disease increased the odds of developing HAM during hospitalization.